Doctor of Healing
Page 16
After completing the relevant examinations, puncture and drainage and pus extraction are all routine operations.
But the problem occurs after the piercing.
It is said that after the pus is pumped out, the patient will get better day by day, and local washing is enough.However, on the second day after the operation, the patient experienced extremely dangerous ion disturbances, with sodium ions as low as 2.2mmol/L.
Sodium ions are low enough to be critically low, and no matter how much it can be supplemented, it can't be supplemented. This matter stumped experts and professors in various departments back then.
The things Dean Zhao experienced personally now seem so familiar and amiable.
He read down word by word, and saw that at the end, the case analysis question raised a question-what kind of treatment should be given to the patient.
On the bottom, the pen writing in thin gold body is simple and beautiful, so simple that Dean Zhao can't help it.
Human serum albumin 10G once a day intravenously + furosemide 20mg three times a day intravenously.
This is Ji Xiang's answer, and it is also the answer given by many experts, professors, and directors after several failures.
Dean Zhao carefully read Ji Xiang's answer three times.
Even he couldn't believe his eyes, and rubbed his eyes as hard as Director Sun to confirm that what he saw was not an illusion.
The concise answer is like the doctor's order given back then, and it is also the answer that Director Sun sent to himself on WeChat.
For a moment, Dean Zhao even suspected that Director Sun had sent the answer to two people, himself and the student who turned in the paper early!
The answer given by this classmate named Ji Xiang is correct.
But the difference is that after the doctor's order was given back then, no one knew whether it would work or not. It was not until the patient's blood sodium returned to normal the next day that everyone was relieved.
But in the entrance examination for Gui Peisheng two years later, Ji Xiang's answer was right there.
Not many words, not many words, just the standard answer.
If Director Sun hadn't asked the questions himself, no one had ever asked them. He doubted that Ji Xiang would have known what to test.
but!
Even if you know what to test, you won't be able to. This question is extremely difficult.
Although the answer is so simple, I don't know how many experts and professors broke countless hairs for this.
"I know about this. This is the doctor's order back then." Professor Mo rubbed his hands excitedly and said.
His voice trembled slightly, even the most stupid person can realize that he has found a treasure, before others notice.
"It's impossible for him to answer correctly." Director Sun remained stubborn.
"This isn't a multiple-choice question, you can fool around." Professor Mo said, "Write out the treatment and doctor's order clearly, and you still don't admit it."
"A Gui Peisheng, how could he..."
Director Sun's words were the same as the thoughts of others. How could a Gui Peisheng solve such a complicated case.
As for how long Jixiang took, it doesn't matter, the most important point is - Director Sun didn't give enough conditions!
With all the materials, the experts and big cows of the Second Affiliated Hospital can't pat their chests and say that the patient must be fine.And a Gui Peisheng gave the correct answer with incomplete information!
Don't be kidding, okay?
There are indeed geniuses in this world, but there is absolutely no genius of this level! !
If Jixiang is so awesome, why do he need training.
"He is definitely not fooled." Professor Mo said decisively, "Yesterday Jixiang... Doctor Xiaoji cooperated with me in performing 12 operations. No, I cooperated with him. At that time, I thought his level was very high, not inferior to mine. "
Everyone was stunned.
Professor Mo's level is already extremely high, I didn't expect him to give Ji Xiang such a high evaluation!
"But I thought about it last night and called each patient again. I think his operation was better than mine."
"!!!"
"!!!"
"!!!"
Glasses shattered.
Whose evildoer is this!
Chapter 15. A Good Surgeon Must Be a Good Physician
"Old Mo, it's not that I don't believe you. I always feel that it is impossible for a student to answer such a difficult case analysis." Director Sun said bluntly.
Not to mention students, what about those experts and professors back then?It's not like one by one in a mess like a lost dog.
He looked at the standard answers on the test paper, and thought of the tall figure that seemed to be shining, and his mind was a little dazed.
"Call classmate Ji and ask him face-to-face about his problem-solving ideas." Dean Zhao said.
The small staff next to Director Sun immediately looked for Ji Xiang's phone number and dialed it.
Professor Mo was a little excited, not ordinary excited, he vaguely saw a treasure.
In Professor Mo's heart, this reserve officer, Ji Peisheng, has been upgraded from a student to a baby, and even to a baby bump.
A good surgeon must be a good physician. This is what my teacher said. Professor Mo thought he couldn't do this, but Ji Xiang did it!
Thinking of the deceased teacher, Professor Mo was shaken and slightly sad.
"Sun Chu, why do you always think it's impossible?" Professor Mo retorted.
"Let's not talk about Gui Peisheng, your surgical diagnosis is rough, you don't know." Director Sun said very bluntly without being reserved.
"A good surgeon must be a good physician." Professor Mo argued, "This is what my teacher said. Although he has passed away unexpectedly for more than 20 years, I still remember it."
When Professor Mo mentioned his teacher, even Dean Zhao didn't refute it.
That big cow in the urology department had a promising future and was at the peak, but he died because of a robbery, which really made people sigh.
Usually, Professor Mo is a ghostly spirit, and he doesn't want to quarrel with others, but when he mentions his dead teacher, he becomes a different person.
He is so tough, it seems that every word of his teacher is regarded as a guibi and cannot be profaned.
……
After handing in the paper, Ji Xiang found a secluded and shady place, sat cross-legged on the ground casually, closed his eyes, and entered the system space.
The exam questions were indeed difficult, but he couldn't stand him without the grandfather of the system.
The NPC of the system is very strong. When Jixiang saw the case analysis later, he knew that the teacher who set the question was deliberately embarrassing.
He also wanted to embarrass the system NPC to see how the system is doing.
I never expected that the system NPC would give the answer after listening to Ji Xiang, and there were also possible values of the inspection data that did not appear in the question stem.
Jixiang knows that this is not a prophet, but an extremely profound clinical experience.
So far, his admiration for the system NPC has risen to another level.
It is the duty of a surgeon to do a good operation, and Ji Xiang has psychological expectations for this.
However, the person in front of me can still analyze clinical cases, the system is indeed very good and advanced.
Awakened by the mobile phone, Ji Xiang came out of the system space to answer the call.
Knowing that the Department of Science and Education asked him to go back, Ji Xiang probably knew why.He stood up, patted his pants, and strode back to the office building.
"Student Ji, this way." Director Sun of the Science and Education Department stood at the elevator door and waited for Ji Xiang.
The elevator door opened slowly, and once again he saw Ji Xiang's tall figure like a luminous body.
Director Sun's pupils shrunk and were sensitive to light, as if looking directly at the sun.
Professor Mo also came out, and he pulled Ji Xiang familiarly and blamed, "How can the exam be handed in so early? It's good to check again."
"Mr. Mo, why are you here?" Ji Xiang asked Professor Mo after greeting Director Sun.
"Look at your exam, I will ask you to go to the clinic if I have time."
At the same time, there was a crisp sound of "Ding Dong" in Jixiang's ear, and the system issued a new task.
[General task: assembly line.
Task content: Complete at least 20 stapler circumcision operations.
Task time: 24 hours.
任务奖励:基础奖励1:手术点数2点,完成20台手术后,每多完成一台手术会有0.3手术点数的奖励。基础奖励2:经验值+3000。】
Huh?not bad.
Ji Xiang looked at the tasks posted on the system panel in the upper right corner of his field of vision with a smile, and his hands began to itch.
"Still laughing." Professor Mo patted Ji Xiang on the shoulder, and comforted him, "Shoot the top bird, even if you answer the question quickly, you have to wait for other students to hand in the paper before handing in the paper, remember?"
"Thank you, Professor Mo." Ji Xiang knew that Professor Mo was telling him the truth, so he sincerely said thank you.
"Student Ji, did you write the final case analysis randomly?" Director Sun led Ji Xiang to the conference room and asked as he walked.
"No." Ji Xiang replied.
"It's so simple to write, and the idea of solving the problem is not written."
"The final question of the case analysis is how to deal with it. I wrote it out. I didn't write it because the question stem didn't mention the idea of disintegration."
Director Sun choked on Ji Xiang's words.
Professor Mo sighed inwardly, what he was talking about when he was young and vigorous was Ji Xiang.
But he didn't say much, Professor Mo was also curious about Ji Xiang, what kind of brain circuit did Ji Xiang use to get the correct answer to such a complicated case?
When he came to the meeting room, Dean Zhao sat upright, looked Ji Xiang up and down carefully, and asked with a smile, "Student Ji, tell me about your thinking on solving the case analysis questions."
As for solving the problem, Jixiang had already heard from the system NPC. At that time, the system NPC also quoted a lot of relevant cases and some laboratory tests that the question maker missed intentionally or unintentionally.
Ji Xiang is talented and intelligent, almost never forgetting, and remembers clearly what the system NPC said.
"That's right." Ji Xiang casually stood in front of many teachers and deans, as if he was defending his graduation thesis.
"As for the final case analysis, I think some clinical data are missing, which is probably related to the fact that the question stem should not be too long."
"Huh?" Director Sun frowned and hummed.
It was he who asked the question, Director Sun did take this into consideration at the time.One sentence from Ji Xiang expressed Director Sun's state of mind at that time.
"At least there is no consultation data from the Department of Nephrology."
"..."
Director Sun was taken aback for a moment, and he began to suspect that the student Ji in front of him had the ability to see through his own heart.
"Let's not talk about that first, let me talk about the diagnostic thinking for this patient, teachers, please give more opinions."
Ji Xiang smiled, looked around at everyone present and began to explain.
"Hyponatremia is nothing more than two major reasons, either less going in, or more coming out.
It is estimated that the consultation of the endocrinology department allows continued sodium supplementation and cautious use of diuretics for this reason-let more sodium go in and less sodium should be excreted.
But when I read the questions of the case, I found that although the patient's appetite was not very good, the blood sodium did not suddenly drop so quickly.
When the blood sodium was slightly low a few days before the critical value appeared, the doctor in charge of the bed probably told him to eat salty food, or told the patient to take salt capsules orally.
Even if he couldn't eat so many pickles or salt capsules, the doctor gave the patient enough sodium at that time.
So the reason why there are less people going in is not valid.
As for whether there are too many electrolytes in the 24-hour urine..."
Ji Xiang said, raised his hand and scratched his head.
"There is no 24-hour urine electrolyte test report here, which makes me very puzzled."
Director Sun listened to Ji Xiang's words, and when he heard this, he seemed to be slapped severely.
At that time, it was indeed because the question was too long, and Director Sun did not think that the reserve officer Ji Peisheng had the ability to solve this question, so a report was deleted.
He didn't think this report was very important, but when Ji Xiang pointed it out in person, Director Sun knew that he had missed an important reference.
This is so embarrassing.
"Since there is no report card, how did you solve the problem?" Dean Zhao asked kindly.
"It was guessed based on the state of the patient before and after." Ji Xiang calmly said what the system NPC said at the time.
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